Greater Trochanteric Pain Syndrome
GTPS causes pain on the outer hip and is one of the most common causes of hip pain. Learn about the causes and effective treatment options.
What is Greater Trochanteric Pain Syndrome?
Greater trochanteric pain syndrome (GTPS) is a common condition causing pain on the outer side of the hip. The greater trochanter is the bony prominence you can feel on the outside of your hip where several important muscles and tendons attach.
Previously called trochanteric bursitis, we now understand GTPS often involves tendon problems (gluteal tendinopathy) rather than just bursa inflammation. The condition is particularly common in middle-aged women and runners.
Symptoms
- Pain on the outer side of the hip
- Tenderness when pressing on the outer hip
- Pain that worsens when lying on the affected side
- Pain with climbing stairs or getting up from sitting
- Pain that radiates down the outer thigh
- Stiffness in the hip, especially in the morning
Risk Factors
- Middle-aged women (most common demographic)
- Runners and athletes
- People with leg length discrepancy
- History of hip surgery
- Low back or knee problems affecting gait
What Causes GTPS?
Gluteal Tendinopathy
Degeneration of the gluteus medius and minimus tendons
Trochanteric Bursitis
Inflammation of the bursa over the greater trochanter
IT Band Syndrome
Tightness of the iliotibial band rubbing over the trochanter
Hip Abductor Weakness
Weakness in the muscles that move the leg outward
Treatment Options
Most cases of GTPS respond well to conservative treatment.
Physical Therapy
Strengthening hip abductors and addressing biomechanics
Activity Modification
Avoiding positions and activities that aggravate symptoms
NSAIDs
Anti-inflammatory medications for pain relief
Corticosteroid Injections
Targeted injections to reduce inflammation
Shockwave Therapy
Non-invasive treatment to stimulate healing
The Key to Recovery
Research shows that a structured physical therapy program focusing on gluteal strengthening is the most effective long-term treatment for GTPS. Dr. Hunter will work with you to develop a comprehensive treatment plan tailored to your specific needs and activity goals.
Related Conditions
Get relief from outer hip pain
Schedule a consultation with Dr. Hunter to discuss your symptoms and create a treatment plan for your GTPS.